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Medicare Part D How are Vulnerable Beneficiaries Faring? Laura Summer Health Policy Institute, Georgetown University With Support from The Commonwealth.

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Presentation on theme: "Medicare Part D How are Vulnerable Beneficiaries Faring? Laura Summer Health Policy Institute, Georgetown University With Support from The Commonwealth."— Presentation transcript:

1 Medicare Part D How are Vulnerable Beneficiaries Faring? Laura Summer Health Policy Institute, Georgetown University With Support from The Commonwealth Fund Alliance for Health Reform November 5, 2007

2 Issues Related to Auto-Enrollment (Percent of Respondents Reporting How Often Issues Occur) Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

3 Resolving Issues Related to Auto-Enrollment (Percent of Respondents Reporting on Average Time Required to Resolve Issues) Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

4 Difficulties Related to Obtaining Drugs (Percent of Respondents Reporting how Often Issues Occur) Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

5 Consequences of Difficulties Related to Procedures to Obtain Drugs (Percent of Respondents Reporting How Often Consequences Occur) Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

6 Reasons to Choose New Part D Plans in 2008 >5 million beneficiaries Source: Georgetown University Health Policy Institute calculations based on 2008 program and plan data. October 2007.

7 Choosing and Using New Part D Plans in 2008 * Some beneficiaries with LIS will be randomly assigned or re-assigned by CMS. >5 million beneficiaries Source: Georgetown University Health Policy Institute, October 2007

8 Issues Affecting Low-Income Beneficiaries (Number of beneficiaries affected) 447,000 500,000 2,567,000 3,300,000

9 Challenges Associated with the Part D Program (Open-ended Responses: Based on your experience, what are the two biggest challenges in assuring that Part D works well for beneficiaries?) Challenges Percent of Responses Difficult to get and understand information23% Program complexity17% Computer system problems13% Coverage restrictions13% Affordability11% Enrollment difficulties9% Other*14% Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006. * Other includes various challenges, each representing 4% or less of responses.

10 Policies and practices to reduce program complexity for beneficiaries Beneficiary-Centered rather than Random Assignment Uniform utilization management practices More monitoring: utilization management and marketing Improve electronic communication Simplify LIS enrollment: resource tests, MSP alignment

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